Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08975 | Date 27/03/2025 |
| Token No | SM/25-26/5579 30/07/2025 | Serial | 045 |
| Patient Name | Master ROHIT MEDDA | Contact No | 9088383457 |
| Address | 10/3 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||